19-101247 •—
Electrical
City of Federal Way Permit #:19-101247-00-EL
Community Development Dept
33325 8th Ave S
FILEFederal Way,WA 98063 Inspection Request Line: (253)835-3050
Ph.(253)835-2607 Fax.(253)835-2609
Project Name: HAMUN
Project Address: 658 SW 299TH.PL Parcel Number:233690 0020
Project Description: Replace existing 200amp panel with new 200amp panel.
**REVISED 5/3119 to include(2)fans and(2)circuits.**
Owner Applicant Contractor
BRYAN D HAMLIN BRYAN D HAMLIN OWNER IS CONTRACTOR
658 SW 299TH PL 658 SW 299TH PL
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C.application? Yes
'. :'1141.A `.Y: ?ystY •r•. wnttC,!7Lj% :ai' ••
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Alt.Serv./Feeder:0 to 200 atm 1 Circuits-Residential 2
PERMIT EXPIRES Wednesday,18 March,2020
Permit Issued on Tuesday,March 19,2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: `'1 c II I*C4 , 6e_ A : Date: 5-7—/
w + , 4
I
Electrical
City of Federal Way .,7."'""-;
.. ._. F ;:''.:....-J Permit #:19-101247-00-EL
Community Development Dept t,
33325 8th Ave S �
Federal Way,WA 98003 Vii ': Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609 f!-L:_i
Project Name: HAMLIN
Project Address: 658 SW 299TH PL Parcel Number: 233690 0020
Project Description: Replace existing 200amp panel with new 200 amp panel. Q r�
Owner Applicant Contractor
BRYAN D HAMLIN BRYAN D HAMLIN OWNER IS CONTRACTOR
658 SW 299TH PL 658 SW 299TH PL
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C.application.' Yes
Alt. Serv./Feeder:0 to 200 am] 1
PERMIT EXPIRES Wednesday, 18 March,2020
Permit Issued on Tuesday,March 19,2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: /�-3�`�Date: `� / I Q0`9
1
44A THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 101247 00 Address: 658 SW 299TH PL
Project: BRYAN D HAMLIN FEDERAL WAY WA 98023-3573
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0 Service(4235) 0 Feeders/Sub-panels(4045) 0 Rougb Electrical(4225)
Approved Approved ie. Approved
By Date By Date
By Date
0 Ceiling Cover(4020) El Final-Electrical(4055)
Approved �/� Approved
By Date By /C /L Date - ' r//
El Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date
By Date
0
RECEIV ELECTRICAL
CITY OF ED
Federal Way MAR 19 2019 PERMIT APPLICATION
CITY OF
COMMUNITY DEV
ELD EELOO*T NUMBER / q — / O /? - DO
SITE ADDRESS: (DoS )Skoil& SUITE/UNIT/SPACE#
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 900 - — —
PROJECT NAME
(Tenant or Homeowner Last Name)
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kw/
pro)
pkt- e�s kc&\ xk
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER gC'14' \-\qrM\4\ ) xt
MAILING ADDRESS E-MAIL
1'0) PL Bryttl,INAv410.106e4iiiiiiedv)
amSTA ZIP FAX
1Q01
W. 0)3
NAME PRIMARY PHONE
Stl'C- to Ol"J r ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
bt,'1wr )
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ( )
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application. /�? 4 ac
SIGNATURE: DATE ✓J u �""'"1
PRINT NAME: t1 00 11 Yr1 f
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
4.1
CITYOFF 'ti- Property Owner
Federal Way Electrical Work Permit Application
' - Applying For Your=Electrical Appl• ic
In Washington, only licensed electrical contractors may perform electrical work. Property owners f
may apply for an exemption from these requirements by completing this application and signing
` the affidavit below before beginning electrical work.
.:Affidavit - - - u .M
. As authorized under RCW 19.28.261. I, ?.C-�Avl `ly1 Yhhereby apply
(Printed name of property owner,renter,or lessee)
for an exemption from the electrical licensing and certification requirements of RCW 19.28 by -
submission of this affidavit.
Which statement describes you? (Mark only one. if none apply,you may not take out this permit.)
i IA I own this property.
i Your name or your company's name must be shown on the deed to the property. Real estate agents'property
i management companies, relatives, etc. cannot purchase permits for the property owner.
i
❑ I rent or lease this property.
E We need a copy of your rental agreement showing you have permission to perform electrical work. 1
k
❑ I am an officer for a 501(c)(3)nonprofit corporation,or a nonprofit religious organization.
1 The total market value of electrical work must be$30,000 or less and all electrical work must be done by a i
non-compensated appropriately certified electrician. 1 .
Select your property type(Mark only one.If none apply,you may not take out this permit.)
t 4-
I ❑ New single family residence that is not intended for rent, sale,or lease,where I will be living for
at least 24 months after completing the electrical work. I will be personally doing the electrical z
work. +
i
❑ New 2,3,or 4 unit residential building, owned by me,that is intended for rent, sale, or lease. I 1
t will be living in one of the units for at least 24 months after completing electrical work. I, 1.
personally,and/or a regularly employed employee(s),will be doing the electricalwork.
❑ New place of business,farm,or other property: Any new structure that is not intended for rent,
sale, or lease. I,personally,and/or a regularly employed employee(s),will be doing the electrical work. 1
iaExisting residential property, place of business,or farm.I, personally,and/or a regularly .
employed employee(s),will be doing the electrical work.
i
DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325
253-835-2607 25.www cityoffederalway.com permitcenter@cityoffederalway.com
Bulletin#080—June 6,2018 Page 1 of 2 k\Handouts\Property Owner Electrical Work Application
❑ 501(c)(3)or nonprofit religious organization owned property: The total market value of the
electrical work must be$30,000 or less,and all electrical work will be performed by appropriately
certified electricians,or certified and properly supervised trainees,who are volunteering and not
being compensated for the electrical work per RCW 19.28.091(7).
Your signature is required below:
I believe I should be exempt from the requirements to obtain an electrical license, or use a certified
electrician,as provided under RCW 19.28.261.
By signing below,I certify the information I am providing on this affidavit is true and accurate.I
understand that if I make false statements or misrepresentations, I ma be assessed penaltes.
a� \ckY r\ 40'/-
Printed Name of Property Owner,Renter,or Lessee / Signature
014/ °k(i
Date
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Property Owner's Name(Last,First)or Company Name
C$ SW P� 01 vel, \I\A cis?0a3
MailingliAddress '1 Unit/Apt.#1 �1 City State Zip
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( Daytime Phone Email Address
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Inspection Site Address(if different) Unit/Apt.# City State Zip
County Electrical Power Company/Serving Utility
Deserijtion of work being done(Example:adding outlets in the kitchen,second floor break area,etc)
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DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325
253-835-2607 z9 www.cityoffederalway.com permitcenter(ci)cityoffederalway.com
Bulletin#080—June 6,2018 Page 2 of 2 k:\l-landoutsl Property Owner Electrical Work Application